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Notes From the Field

Arch Pediatr Adolesc Med. 2000;154:9-10.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

ADVANCES IN medicine are generally the result of a process of repeated observation, investigation, and correlation. These initial descriptive steps are followed by more sophisticated hypothesis generation and testing, which continues the spiral heading toward definitive relationships between symptoms, physical and laboratory findings, and treatment of the condition. The rapidity with which this process progresses is dependent on factors such as disease incidence, morbidity, and professional and public interest.

Figure appears in full text version. Daniel L. Coury, MD

John Caffey, MD, a radiologist, can probably be credited with initiating medical concern regarding the problem of child abuse. His description of the association of skeletal fractures and subdural hematomas in 6 children made it clear that trauma was the underlying cause, but did not so clearly make the connection to abuse by the parents.¹ Over the next quarter century, through repeated observation, investigation, and correlation, the source of the trauma became more apparent, and the . . . [Full Text of this Article]

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